Eligibility
One hundred percent eligibility continuity
Eligibility remains unchanged.
Everyone who was eligible for services before the transition remains eligible now—including descendants who already qualified for care.

White Earth Nation now manages healthcare services at White Earth and Naytahwaush. This transition follows planning that began in 2016 and builds on at least 20 years of White Earth experience managing health and behavioral health services under Tribal governance. The change is in who manages the clinics—not in who can receive care.
White Earth is working to retain current providers while adding staff and strengthening care teams. With decisions made closer to home, clinic leadership can respond more directly to community needs.
The transition keeps the foundations of care steady while building more local capacity.
Eligibility
One hundred percent eligibility continuity
Everyone who was eligible for services before the transition remains eligible now—including descendants who already qualified for care.
Services
All existing services continue
Existing services remain in place. The goal is to add providers, improve access, and build capacity—not reduce care.
Tribal health management
At least twenty years of experience
White Earth is building on at least 20 years of experience managing health and behavioral health services under Tribal governance.
Hiring momentum
At least thirty-five positions
At least 35 positions were expected to be filled within three to four weeks following a successful hiring event—a hiring pace Tribal leadership said it had not seen in three years.
Help build a growing health system rooted in community, culture, and care.
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Mary Lynne brings executive leadership experience across Tribal, Indian Health Service, and urban Indian health systems, along with a commitment to culturally grounded care and community partnership.
Read update: Mary Lynne-Billy Old Coyote named Chief Executive OfficerView official information from White Earth Tribal Health Systems.
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Background on the transition to Tribal management, what it means for patients, and answers to common questions.
White Earth’s goal is continuity of care. The health system is working to retain current providers while adding staff to strengthen care teams.
No. The purpose of the transition is to improve access and build capacity—not reduce services.
No. Eligibility for onsite services remains the same.
It gives White Earth greater local control over staffing, operations, and decisions, allowing the health system to respond more directly to community needs.
Chief Executive Officer Mary Lynne-Billy Old Coyote oversees operations and reports to the White Earth Tribal Health Systems Health Board.
For questions about the health-system transition or governance, email [email protected]. For questions about your care, appointments, or referrals, contact your clinic directly.

Mary Lynne-Billy Old Coyote
Chief Executive Officer
Mary Lynne-Billy Old Coyote leads White Earth Tribal Health Systems with executive healthcare experience across Tribal, Indian Health Service, and urban Indian health systems.
An enrolled member of the Chippewa Cree Tribe of Rocky Boy, Montana, she has led health system operations, workforce development, quality improvement, strategic planning, and organizational growth. She is committed to bringing traditional healing practices, community voice, and culturally grounded care into a strong, sustainable modern health system.
The White Earth Tribal Health Systems Health Board was established to provide health-system oversight separate from the Reservation Business Committee and to help keep decisions focused on community needs. The Chief Executive Officer reports to the Health Board.
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